34D0922352 CLIA NUMBER - CUMBERLAND REG JUVENILE DETENTION CTR

Laboratory Demographics

  • CLIA Code: 34D0922352
  • Facility Name: CUMBERLAND REG JUVENILE DETENTION CTR
  • Facility Address: 1911 COLISEUM DR
    FAYETTEVILLE, NC
    ZIP 28306
  • Facility Phone: 910 486-1399
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: EBONY CRUTCHFIELD
  • NPI Number: 1942221023
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 34D0922352
LAB Type School/Student Health Service
Facility Name CUMBERLAND REG JUVENILE DETENTION CTR
Street 1911 COLISEUM DR
City FAYETTEVILLE
State NC
ZIP 28306
Phone 910 486-1399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type School/Student Health Service
Lab Director EBONY CRUTCHFIELD

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This page was last updated on: 9/29/2025